Billing & Coding Specialist

At Revecore, our work helps hospitals recover the revenue they've earned so they can continue serving patients and communities. Trusted by more than 1,300 hospitals across 48 states, we combine specialized expertise with proprietary technology to solve problems others can't. Just as importantly, we've built a workplace where people support one another, embrace innovation, and are trusted to do their best work.

Work that matters. People who care. Empowered to deliver results.

Why Work Here

Work That Matters - Help hospitals and communities by solving problems that make a real difference.

People Who Care - Work alongside teammates who support each other and our clients.

Room to Grow - Grow your career through learning, development, and internal opportunities.

Empowered to Deliver - Take ownership, use innovative technology, and do your best work.

Benefits That Support You - Comprehensive health coverage, 401(k) match, paid training, generous PTO, paid holidays, and more.

The Role:

Performs retrospective outpatient coding and billing reviews in coordination with internal staff in our mission to capture full, fair, and accurate reimbursement for our hospital clients.

As a Billing and Coding Specialist -- Outpatient, you will:

Support internal and external customers by providing accurate and timely responses to coding and billing questions.Perform retrospective coding and billing reviews on outpatient hospital claims and assistance with outpatient claims.Provide correction recommendations to internal associates or clients, and support recommendations with rationale that may include coding guidelines, industry standard billing guidelines, or payer specific guidelines.Research and stay current on industry changes with regards to coding guidelines and payer specific billing guidelines for commercial and government payersComprehend payment methodologies and how they apply to billing and coding scenarios.Build strong, lasting relationships with Revecore personnel.Attend department and company meetings as required.Comply with federal and state laws, company and department policies and procedures.Assist with other related responsibilities to meet the needs of the business.Perform other duties as assigned.

You will be successful if you have:

AAPC or AHIMA Coding certification required, with 1+ years hospital coding/ auditing experience i.e., CPC, COC, CIC, CCS-P, CCSUnderstanding of Managed Care, Medicare and Medicaid billing and reimbursement guidelinesUnderstanding of inpatient and outpatient hospital reimbursement methodologies.Mathematical skills sufficient to apply the concepts of claim payment methodologies.Ability to read and interpret an extensive variety of documents such as claims, instructions, policies and procedures in written (in English) and diagram form.Ability to present ideas on complex, detailed issues with ease.Ability to define problems, collect data, establish facts and draw valid conclusions.Strong team player, with willingness to adapt to changing priorities.Commitment to company values.

Education and Experience Requirements:

High school diploma or equivalent required.Working knowledge of Microsoft Office suite (Word, Excel)Eagerness to learn new technologies and develop proficiency in internal applications.Strong computer navigation skills and experience using multiple software programs simultaneously to complete work.

Work at Home Requirements:

A quiet, distraction-free environment to work from in your home. A reliable hard-wired private internet connection that is not supplied via cellular data or hotspot is required. Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads. The workspace area accommodates all workstation equipment, related materials, and provides adequate surface area to be productive.

Must reside in the United States within one of the states listed below:

Alabama, Arkansas, Connecticut, Florida, Georgia, Iowa, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Michigan, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota (CST Time Zone), Tennessee, Texas (CST Time Zone), Vermont, Virginia, Wisconsin, and West Virginia.

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Revecore is an Affirmative Action/Equal Opportunity Employer committed to providing equal employment opportunities for all applicants and employees. We make employment decisions without regard to any characteristic protected by applicable law and encourage individuals of all backgrounds to apply.

Employment is contingent upon eligibility to work in the United States, verification of employment history, and successful completion of a background check.